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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.35 no.1 São Paulo Mar. 1977

http://dx.doi.org/10.1590/S0004-282X1977000100002 

Tratamento cirurgico da hemorragia cerebral: considerações a propósito de 11 casos

 

Surgical treatment of spontaneous intracerebral hemorrhage: results obtained on eleven cases

 

 

Walter C. PereiraI; Roberto GodoyII; Celso FerreiraIII

IChefe do Serviço de Neurocirurgia. Hospital São Joaquim da Real e Benemérita Sociedade Portuguesa de Beneficência de São Paulo
IINeurocirurgiâo Assistente. Hospital São Joaquim da Real e Benemérita Sociedade Portuguesa de Beneficência de São Paulo
IIIMédico residente. Hospital São Joaquim da Real e Benemérita Sociedade Portuguesa de Beneficência de São Paulo

 

 


RESUMO

Após breves comentários sobre os achados angiográficos em 298 doentes com acidente vascular cerebral isquêmico ou hemorrágico, é realçada a importância da angiografia cerebral como o método ideal de diagnóstico, tendo em vista a variedade de fatores fisiopatogênicos e etiológicos envolvidos na gênese dessas síndromes. São discutidos a seguir, particularmente, os resultados obtidos com o tratamento cirúrgico de 11 pacientes com hematoma intracerebral espontâneo. Apesar da divergência de opiniões a este propósito, a melhora acentuada que observamos em 54,6% de nossos doentes, motiva-nos a considerar o tratamento cirúrgico indicado na maioria dos casos de hemorragia cerebral primária.


SUMMARY

After brief comments about the angiographic findings on 298 consecutive cases of isquemic or hemorrhagic cerebral vascular strokes, cerebral angiography is emphasized as the main diagnostic method, owing to the variety of physiopathogenic and ethiologic factors involved in the genesis of this syndromes. The results of surgical treatment on eleven patients with spontaneous intracerebral hematomata are discussed in detail. Despite the great divergence among the authors about the management of massive intracerebral hemorrhage, the rapid improvement in 54,6% of the patients in this series, in our opinion justifies surgery in the majority of the cases.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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Trabalho realizado no Hospital São Joaquim da Real e Benemérita Sociedade Portuguesa de Beneficência de São Paulo
Serviço de Neurocirurgia - Hospital da Beneficêticia Portuguesa de São Paulo Rua Maestro Car dim 769, sala 275 - 01329 São Paulo SP - Brasil.

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